• Journal of Korean Neurosurgical Society
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• 제42권4호
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• pp.346-348
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• 2007

Surgical elevation of the depressed bone is known to be the conventional treatment usually recommended for a simple depressed skull fracture in the adult or pediatric age. The authors introduce, however, a case of depressed skull fracture in an infant which was elevated by means of a cup of breast pump and a suction generator without surgical elevation. In our case, without surgery, a 'cup-shaped' depressed skull fracture in an infant was safely elevated with no neurological signs. This method is considered a simple, effective, safe, and alternative procedure in an infant with simple depressed skull fracture.

• 한국식품영양과학회지
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• 제31권3호
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• pp.433-437
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• 2002

본 연구는 손착유 모유와 breast-pump에 의한 기계착유모유 중의 총균수와 대장균수를 검사하고 또한 냉장 및 실온보존에 따른 모유(초유, 성숙유)와 환원조제분유의 저장성을 파악하고자 시험하였다. 시험 결과 breast-pump로 수집한 모유 중의 총균수는 2.02$\times$$10^4$CFU/mL로 손착유에 의한 총균수 1.06$\times$$10^4$ CFU/mL보다 약 2배 가량 많이 나타났으며 특히 대장균의 경우, 손착유에 의한 감염율이 12.9%인 반면 breast-pump로 수집한 모유의 감염율은 19.5%로 높게 나타났다. 또한 모유와 환원조제분유를 냉장(4$^{\circ}C$) 및 실온(2$0^{\circ}C$, 3$0^{\circ}C$)상태에서 보존하면서 총균수와 대장균수의 변화를 시험한 결과, 4$^{\circ}C$에서 대장균수의 변화는 10일 동안 뚜렷한 변화를 보이지 않았으며 총균수는 지속적으로 약간 감소하는 경향을 나타냈다. 2$0^{\circ}C$에서 총균수의 변화는 모유 성숙유와 모유 초유에서 뚜렷한 증가 추세를 보이지 않았으나 대장균의 경우 지속적인 증가 추세를 보였으며, 특히 환원조제분유에서 대장균수는 12시간 이후 급속히 증가하는 경향을 나타냈다. 3$0^{\circ}C$에서 총균수의 변화는 모유 성숙유의 경우 12시간 이후 급속히 증가하는 경향을 보였으나 모유 초유의 경우 뚜렷한 증가 추세를 보여주지 않았다. 반면에 환원조제분유는 6시간 이후 급속히 증가하는 추세를 나타냈다.

• 여성건강간호학회지
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• 제18권2호
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• pp.98-107
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• 2012

Purpose: This study was done to identify the effects of self-breast pumping on breastfeeding rates and, the degree of breast milk fullness among primiparous women giving birth by cesarean section. Methods: The study design was a non-synchronized posttest control group experiment with repeated measures. The participants were 60 women, 31 in the experimental group who used a manual pump 5 times a day after exclusive breastfeeding and 29 in the control group who breastfed exclusively with no other interventions. Results: While self-breast pumping did not improve breastfeeding rates or the degree of breast milk fullness at any of the time points studied, breastfeeding rates continued to remain high till 12 weeks postpartum in both groups. Conclusion: Although some modifications in research methods will be required to identify the effects of breast pumping and exclusive breastfeeding, both these approaches can be used as interventions to improve breastfeeding rates and breast milk quantity.

• 대한영상의학회지
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• 제82권6호
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• pp.1570-1574
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• 2021

산후에 발생하는 젖낭종은 수유 중인 여성에게서 흔히 나타나는 양성 질환이다. 유선후층 지방층, 유방확대 보형물 주변에 생긴 젖낭종은 비교적 드문 형태이다. 34세의 출산 후 1달이 지난 여성은 2주 전부터 시작된 좌측 유방의 확대를 주소로 내원하였다. 출산 후 지속적으로 유축기를 사용해왔다. 좌측 유방은 초음파상에서 보형물 주변에서 관찰되는 고에코의 액체성분으로 관찰되었다. 초음파 유도하 세침흡인으로 모유 성상의 액체가 배액되었다. 세포검사 결과에서 젖낭종을 시사하는 결정체들이 관찰되었다. 다양한 원인, 특히 유방 보형물 관련 역형성 거대 세포 림프종으로 인해 보형물 주변에 액체가 관찰될 수 있다. 영상의학적 소견, 임상적 정보 그리고 세포학적인 분석들을 종합하여 적절한 치료에 도움을 받을 수 있을 것으로 사료된다.

• Child Health Nursing Research
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• 제1권1호
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• pp.37-46
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• 1995

The effects of different discharge packs on the rate of breast-feeding practice were investigated in 2, 4 and 8 postpartal weeks. The subjects were those who have made delivery at Chonnam University Hospital from Jan to Feb 1994. They were divided into three groups by the discharge pack provided at the nursery room : the one group was given with formula discharge pack, another with breast-feeding discharge pack and the other nothing. The formula discharge pack contained formula samples, a feeding bottle and a pamphlet prepared by a formula company, and breast-feeding discharge pack contained a manual pump and a pamphlet made by Korean Nurses Association. Following results were obtained : 1. Different discharge packs significantly affected the rate of breast-feeding practice at 2 week postpartum, while not at 4 and 8 week postpartum. 2. At 2 week postpartum, the rate of breast-feeding practice was significantly higher in the group given with breast-feeding discharge pak than in that given with formula discharge pack. It was also significantly higher in the group given with breast-feeding discharge pack compared with the group given nothing. The breast feeding rate, however, did not significantly differ between the formula discharge pack group and the group given nothing. 3. The most common cause for the artificial feeding was 'lacking breast milk'. The most common cause to select a specific brand of formula milk was 'the same as in the nursery room'. In conclusion, it is suggested that encouraging mothers to perform breast feeding and providing them with a breast-feeding discharge pack instead of a formula pack at the nursery room are helpful in promoting the breast-feeding.

• BMB Reports
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• 제48권6호
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• pp.348-353
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• 2015

In the present study, we investigated the characteristics of drug efflux transporter expressions following status epilepticus (SE). In the hippocampus and piriform cortex (PC), vasogenic edema peaked 3-4 days after SE. The expression of breast cancer resistance protein (BCRP), multidrug resistance protein-4 (MRP4), and p-glycoprotein (p-GP) were decreased 4 days after SE when vasogenic edema was peaked, but subsequently increased 4 weeks after SE. Multidrug resistance protein-1 (MRP1) expression gradually decreased in endothelial cells until 4 weeks after SE. These findings indicate that SE-induced vasogenic edema formation transiently reduced drug efflux pump expressions in endothelial cells. Subsequently, during recovery of vasogenic edema drug efflux pump expressions were differentially upregulated in astrocytes, neuropils, and endothelial cells. Therefore, we suggest that vasogenic edema formation may be a risk factor in pharmacoresistent epilepsy. [BMB Reports 2015; 48(6): 348-353]

• Asian Pacific Journal of Cancer Prevention
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• 제17권11호
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• pp.4875-4883
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• 2016

Background and objective: Breast cancer-related lymphoedema (BCRL) is a disabling complication with long term impact on quality on life after breast cancer treatment. Its management remains a major challenge for patients and health care professionals; the goal of this overview was to summarize effects of different treatment strategies for patients with BCRL. Methods: A thorough search was undertaken to allow a systematic review or meta-analysis of treatments for BCRL. Two investigators independently selected studies and abstracted the data. Results: Combined physical therapy (CPT) with different combinations of surgery, oral pharmaceuticals, low-level laser therapy, weight reduction, mesenchymal stem cell therapy, kinesio tex taping, and acupuncture might be effective in reducing lymphoedema, but exercise demonstrated no obvious benefit. The results of direct comparisons showed CPT might be more effective than standard physiotherapy (ST). Manual lymphatic drainage (MLD) may not offer additional benefits to ST for swelling reduction, but could facilitate compression bandaging. MLD seemed to have similar effects with self-administered simple lymphatic drainage (SLD) or using an intermittent pneumatic compression pump (IPC). IPC might also not be associated with additional effectiveness for CPT. Efficacy of stem cell therapy vs. compression sleeve or CPT, as well as the effects of daflon and coumarin could not be established. Conclusion: Although many treatments for BCRL might reduce lymphoedema volume, their effects were not well established. The quality of many of the original studies in the included reviews was not optimal, so that in future randomized control trials are a high priority.

• Journal of Korean Biological Nursing Science
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• 제10권2호
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• pp.131-140
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• 2008

Purpose: This study is about safety of the expressed human milk by investigating its bacterial contamination and antibiotic resistance of the microbes in the expressed milk. Methods: The data are collected from the 156 mothers and their newborn infants in NICU of U University Hospital from January 2004 to September 2005. Results: 1) The expressed human milk was contaminated by Staphylococcus epidermidis for 66.7%, Two mixed bacterial strain for 11.5%, Acinetobacter species for 8.0%, Klebsiella species for 4.6%, Staphylococcus aureus for 4.6%. 2) The microbes in the human milk had high resistance to the Antimicrobial agents: 77.5% for Penicillin-G, 66.6% for Oxacillin, and 63.7% for Cephalothin. 3) The distribution of microbes showed a significant depending on the place of the milk expression (p=.020). In particular, mixed bacterial strain was found more in the milks expressed at home than the milk expressed at the hospital. Conclusion: This study shows the importance of systematic education of feeding process in expressed milk: poor management of a breast pump, inadequate hand washing and imperfect breast cleaning explain the reasons of contamination 156 cases.

• 생명과학회지
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• 제26권12호
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• pp.1392-1399
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• 2016

Jaspine B는 석회해면류에서 추출된 sphingosine유도체로 인간 암세포에서의 항암활성이 보고되었다. 그러므로 본 연구는 다양한 인간 암세포주에서 항암활성을 비교하고, 암세포주에서의 Jaspine B의 농도를 측정하여 항암 활성과의 연관성을 확인하고자 하였다. 항암활성은 MTT 방법을 이용하여 측정하였고, $EC_{50}$ 값으로 표현하였다. 암세포주내 Jaspine B의 농도는 LC-MS/MS를 이용하여 분석하였다. 항암활성은 세포주마다 다양하게 나타났는데, 유방암과 흑색종 세포주에서 항암활성이 높게 나타났으며($EC_{50}$ 각각 $2.3{\mu}M$과 $2.6{\mu}M$), 신장암세포주에서는 $EC_{50}$ 값이 $29.4{\mu}M$이었다. 암세포주에서의 $EC_{50}$ 값은 동일한 세포에서의 Jaspine B 농도와 높은 상관성을 나타내었으며(r=0.838), 암세포내 약물농도를 조절하는 것으로 잘 알려진 P-glycoprotein과 breast cancer resistance protein 등의 배출수송계와는 관련이 없음을 확인하였다. 이상의 결과는 세포내 약물농도를 높게 유지하는 것이 항암활성에 매우 중요하며, 세포내 약물농도가 암세포주에 따라 다른 약효를 보이는 원인으로 사료된다.

• Journal of Pharmaceutical Investigation
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• 제37권5호
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• pp.311-314
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• 2007

Paclitaxel (PTX) is an antineoplastic agent approved for the treatment of ovarian and breast carcinomas. However, the use of paclitaxel as an anticancer drug is limited by its extremely poor water solubility (below $0.3\;{\mu}g/mL$). Furthermore, it has very low bioavailability when administered orally because paclitaxel is a substrate of P-glycoprotein (P-gp) efflux pump. In this study, buccal delivery of PTX was investigated as one of the alternatives for PTX delivery. Ethanol and glyceryl monooleate (GMO) were selected as permeation enhancing agents to increase solubility and permeation across buccal mucosa of PTX. At the different concentrations of ethanol solution ($30{\sim}70\;w/w\;%$), PTX permeation was studied, followed effects of GMO in the concentration range of $2.5{\sim}25%$ with ethanol vesicle. The transbuccal ability of PTX was evaluated in vitro using Franz diffusion cells mounted with rabbit buccal mucosa. As a result, incorporation of PTX into ethanol vesicle with GMO significantly enhanced the PTX permeation in rabbit buccal mucosa. Particularly, the mixtures of ethanol:water:GMO at the ratio of 50:47.5:2.5 showed the most excellent enhancing ability. The results showed a promising possibility for buccal delivery of PTX.